Referring patients is easy
Online: Complete our electronic referral form and upload documents directly.
Fax or Email: Download, print, and send the completed form with supporting documents.
We’ll handle the rest, including prior authorizations.
Phone: 813-726-0350 Fax: 813-433-5315 Email: TFHCSpecialtyCare@TFHC.org
Treatment Referral Forms
Actemra®
Cimzia®
General Form
Injectafer®
Leqembi®
Orencia®
Renflexis®
Simponi®
Spevigo®
Venofer®
Xolair®
Amvuttra®
Cinqair®
Entyvio®
Glassia®
Ivig®
Lumizyme®
Prolastin®
Riabni®
Stelara®
Tysabri®
Avsola®
Cosentyx®
Evenity®
Infed®
Ilaris®
Nucala®
Prolia®
Rituxan®
Saphnelo®
Tepezza®
Vyepti®
Benlysta®
Crysvita®
Feraheme®
Inflectra®
Ilumya®
Nulojix®
Reclast®
Ruxience®
Skyrizi®
Tremfya®
Tezspire®
Vyvgart®
Briumvi®
Dupixent®
Fasenra®
Infliximab®
Krystexxa®
Ocrevus®
Remicade®
Rystiggo®
Soliris®
Ultomiris®
Vyvgart Hytrulo®